MRS. KRYSTAL NICOLE BOULTON (NPI# 1932493020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932493020 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL NICOLE BOULTON |
| Other Name | KRYSTAL KANE |
| Credential | LCSW |
| Practice Address |
759 Bailey St Boca Raton FL 33487 |
| Mailing Address |
759 Bailey St Boca Raton FL 33487-1745 |
| Practice Telephone | 9544158118 |
| Mailing Telephone | 9544158118 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW10112 | FL | Behavioral Health & Social Service Providers |
| Street Address |
759 BAILEY ST |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241420 | Nicole Rothenberg | Social Worker | 6832 Palmetto Cir S Apt 104, Boca Raton, FL 33433-3506 | 2020-10-01 |
| 1114534831 | Vritti Samtani | Social Worker | 5650 Camino Del Sol Apt 307, Boca Raton, FL 33433-6544 | 2020-09-27 |
| 1669084323 | Danielle Hadar | Social Worker | 21689 Wessex Way, Boca Raton, FL 33486-8622 | 2020-08-23 |
| 1770194573 | Danielle Barone | Social Worker | 3510 Nw 26th Ave, Boca Raton, FL 33434-3424 | 2020-08-14 |
| 1275143133 | Gail E Rattner | Social Worker | 2062 Wolverton D, Boca Raton, FL 33434-4573 | 2020-08-05 |
| 1093325243 | Revamed Center for Emotional Wellbeing, LLC | Social Worker | 7000 W Palmetto Park Rd Ste 201, Boca Raton, FL 33433-3430 | 2020-08-03 |
| 1669090890 | Lisa Ann Mansell | Social Worker | 2911 Nw 27th Ave, Boca Raton, FL 33434-3638 | 2020-07-14 |
| 1306464466 | Traci Pauline Schreibman | Social Worker | 8527 Casa Del Lago Bldg 35a, Boca Raton, FL 33433-2107 | 2020-07-06 |
| 1043849615 | Melanie Deckman | Social Worker | 5500 N Military Trl Apt 403, Boca Raton, FL 33496-3565 | 2020-04-06 |
| 1881228807 | Yocheved Gotkin | Social Worker | 7100 Camino Real, Boca Raton, FL 33433-5510 | 2020-02-28 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
Please comment or provide details below to improve the information on MRS. KRYSTAL NICOLE BOULTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.